| NPI | 1669251799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD BIZIMANA Director 202-413-2649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2023-09-27 |